Mental health problems and resilience in adolescents during the COVID-19 pandemic in a post-armed conflict area in Colombia.
Mental health problems and resilience in adolescents during the COVID-19 pandemic in a post-armed conflict area in Colombia.
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DOI：
10.1038/s41598-023-35789-y
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发表时间：
2023-06-16
影响因子：
4.6
通讯作者：
中科院分区：
文献类型：
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作者：
COVID-19大流行对青少年心理健康的影响正在显现，在武装冲突、贫困和境内流离失所等挑战先前影响其心理健康的情况下，需要特别关注。本研究旨在确定COVID-19期间哥伦比亚托利马冲突后地区在校青少年的焦虑症状、抑郁性精神病学、可能的创伤后应激障碍和复原力的患病率。一项横断面研究进行了657名青少年从12至18岁，方便抽样招募在8所公立学校在托利马，哥伦比亚南部，谁完成了自填问卷。通过焦虑症状（GAD-7）、抑郁症状（PHQ-8）、可能的创伤后应激障碍（PCL-5）和复原力（CD-RISC-25）筛查量表获得心理健康信息。观察到中度至重度焦虑症状的患病率为18.9%（95% CI 16.0-22.1），中度至重度抑郁症状的患病率为30.0%（95% CI 26.5-33.7）。发现可能的创伤后应激障碍（PTSD）的患病率为22.3%（95% CI 18.1-27.2）。CD-RISC-25弹性结果的中位数评分为54 [IQR 30]。这些结果表明，在COVID-19大流行期间，这一冲突后地区约三分之二的在校青少年至少经历了一种心理健康问题，如焦虑症状、抑郁症或可能的创伤后应激障碍。未来的研究将有助于确定这些发现与大流行影响之间的因果关系。这些发现突出了学校在大流行后应对学生心理健康的挑战，以促进适当的应对策略，并迅速实施多学科干预措施，以减轻青少年心理健康问题的负担。
The impact of COVID-19 pandemic on mental health of adolescents are emerging and require particular attention in settings where challenges like armed conflict, poverty and internal displacement have previously affected their mental wellbeing. This study aimed to determine the prevalence of anxiety symptoms, depressive symptomatology, probable post-traumatic stress disorder and resilience in school-attending adolescents in a post-conflict area of Tolima, Colombia during the COVID-19. A cross-sectional study was carried out with 657 adolescents from 12 to 18 years old, recruited by convenience sampling in 8 public schools in the south of Tolima, Colombia, who completed a self-administered questionnaire. Mental health information was obtained through screening scales for anxiety symptoms (GAD-7), depressive symptomatology (PHQ-8), probable post-traumatic stress disorder (PCL-5) and resilience (CD-RISC-25). The prevalence observed for moderate to severe anxiety symptoms was 18.9% (95% CI 16.0–22.1) and for moderate to severe depressive symptomatology was 30.0% (95% CI 26.5–33.7). A prevalence of probable post-traumatic stress disorder (PTSD) of 22.3% (95% CI 18.1–27.2) was found. The CD-RISC-25 results for resilience had a median score of 54 [IQR 30]. These results suggest that approximately two-thirds of school-attending adolescents in this post-conflict area experienced at least one mental health problem such as anxiety symptoms, depressive symptomatology or probable PTSD during the COVID-19 pandemic. Future studies are of interest to establish the causal relationship between these findings and the impact of the pandemic. These findings highlight the challenge that schools have after pandemic to address the mental health of their students in order to promoting adequate coping strategies and implement prompt multidisciplinary interventions to reduce the burden of mental health problems in adolescents.
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影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
3.9
作者：
Feinberg, Mark E.;A. Mogle, Jacqueline;Hotez, Emily
通讯作者：
Hotez, Emily
影响因子：
3.6
作者：
Bell V;Méndez F;Martínez C;Palma PP;Bosch M
通讯作者：
Bosch M
DOI：
10.1016/j.rcp.2016.09.009
发表时间：
2016-12-01
期刊：
Revista Colombiana de Psiquiatría
影响因子：
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作者：
Gómez-Restrepo, Carlos;Bohórquez, Adriana;Medina Rico, Mauricio
通讯作者：
Medina Rico, Mauricio
影响因子：
2.7
作者：
Arenliu, Aliriza;Bertelsen, Nathan;Weine, Stevan Merrill
通讯作者：
Weine, Stevan Merrill